Individual provider Active NPI

Angela S Monterosso, PA-C

  • Surgical Physician Assistant
  • Hoboken, NJ
National Provider Identifier
1578905352
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00312300 Issued in NJ
Practice address
79 Hudson St Ste 700
Hoboken, NJ 07030-5642
Phone
(201) 449-1000
Fax
(201) 399-2433
NPI assigned
Jul 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00312300 NJ
Surgical Physician Assistant 363AS0400X 25MP00312300 NJ Primary

Addresses

Primary practice location

79 Hudson St Ste 700
Hoboken, NJ 07030-5642

Mailing address

79 Hudson St Ste 700
Hoboken, NJ 07030-5642
Phone (201) 449-1000

Other practice location 1

200 S Orange Ave Ste 295
Livingston, NJ 07039-5817
Phone (201) 449-1000

Other practice location 2

20 Wilsey Sq Ste C
Ridgewood, NJ 07450-3730
Phone (201) 449-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180711001772 NJ Practitioner - Physician Assistant 4082904156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Coast Advanced Plastic Surgery LLCGroup PAC ID 8628249786, 12 clinicians

Practice addresses (Care Compare)

200 S Orange Ave
Livingston, NJ 07039-5817
Phone (201) 449-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00312300NJMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: amonterosso294128@northwell.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578905352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST STE 700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305642",
            "telephone_number": "201-449-1000",
            "fax_number": "201-399-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 HUDSON ST STE 700",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305642",
            "telephone_number": "201-449-1000",
            "fax_number": "201-399-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Orange Ave Ste 295",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "NJ",
            "postal_code": "070395817",
            "country_code": "US",
            "telephone_number": "201-449-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Wilsey Sq Ste C",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074503730",
            "country_code": "US",
            "telephone_number": "201-449-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEROSSO",
        "first_name": "ANGELA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00312300",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00312300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

Verify at the official NPI Registry.